Meter Swap ,
�
Request Number: 14516
Public Works Division
Service Request
Problem A,ddress: 5210 Lincoln St Requested By: Tom Lxh
Depsrtment: WA1ER Addces�: No address provided
ProMemllssue: INSTALL AMR ME1ER Phone Number: 612-345-0439
Schedaled Date: 2017-04-11 Schednled'ilme: 02:00:00
� , �
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-OS
ACIION T .
{��n.,��i � �.�� �
� �
Ststus: 1n Progress Snbmitter Has Been r
Contx�ted
Date Completed: Compieted by:
�— � .� � �� (c�r`
� � �
�
�J3.� ��I 3��C�- 01
' S� �-�35�5
i City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�lWe hereby authorize the City of Fridiey and/or its employees to do whaC is necessary to
replace the water meter. i understand that the property owner is liable for the water tine from the main to the premise and ail interior
plumbing. (Per�ty code 40Z.06) i also hold the City of Fridley and/its employees harmless fo�arry damages that may oca�r while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) '� I � � � �
Name:_�1�V �����Vy � Address � ✓1�'O �'Y��*`� ��
Phone Number � r�^ �J�,)� v Y�ate �� � t'� r�
Signature Witness Signature —`—
OLD METER# `��� �� `�
OLD READING � � �� r � �/ �
NEW METER# ������
NEW READING
ERT# � � V���� I •
FRfDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buifding fior which the
application is made,the owner or contrector shall be required to obtain a permit for such connection,and shal4 pay a permit fee�pravided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful te cove�
any connecting line until an inspedion has been made and wch wnnection and the work incident thereto has been approved b�the City as a
proper and suitab{e connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of suth premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate sQt annuaily by an administrative policy. it shafi be the responsibil'�ty of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to maiMain the water service curb stop box for operability and at such height as will ensure that it remai�s above the finished
grade of the land or property. (Ref 638,1156,1191)